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What Causes Cold Sensation In Wrist And Arms While Exercising?

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Posted on Mon, 24 Aug 2015
Question: What is it when the wrist and arm grows ice cold when exercising (can feel the temp drop even without touching the skin because of the contrast to hands and rest of body)? Hands and other extremities stay warm, although they sometimes get slightly swollen. Over the last five years, the cold has moved from just the wrist to include the full forearm and appears to be spreading. We were wondering if it's dangerous and want to know if it is worth seeing a physician. Someone mentioned that my friend my have Reynauds but the symptoms don't sound the same as many of the websites such as WebMD and Mayo.
doctor
Answered by Dr. Dr. Shruti Rijhwani (58 minutes later)
Brief Answer:
You need a colour doppler of upper limbs.

Detailed Answer:
Dear Madam,

Thank you for posting your query on HCM.

Well looking into your problem I would like to tell you that we will need to see the arterial blood flow in your arm . Yes it does not sound like typical raynauds but we cannot rule it out . Also all pulses need to be examined .

There is also remote possibility of RSD or underlying connective tissue disease like Lupus . Please provide detail history so that we can help you out better. Also you can discuss this with your treating doctor .

Take care.

Dr. Shruti
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Dr. Shruti Rijhwani (11 hours later)
What type of specialist would be the best one to visit to run the test/diagnostic?

Also, with insurance being quirky about not paying for "Patient desired tests" vs. doctor recommended, in your opinion, would these tests fall into a category of doctor recommended if a specialist was seen?
doctor
Answered by Dr. Dr. Shruti Rijhwani (13 hours later)
Brief Answer:
Follows.

Detailed Answer:
Dear Madam,

I think first you should see a vascular surgeon to see for arterial doppler of arms , if it comes out to be normal then you should see a rheumatologist for looking out for Reflex sympathetic dystrophy or ruling out underlying connective tissue disease like Lupus etc.

Regarding insurance , I cant guide you because it differs with the countries own rules . But your treating doctor will have an idea about this . But yes I think a specialist is going to recommend all these because thats how we need to approach , also you can discuss this with your treating doctor , so that he understands your point of view .

Dr. Shruti
Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Shruti Rijhwani

Rheumatologist

Practicing since :2008

Answered : 2366 Questions

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What Causes Cold Sensation In Wrist And Arms While Exercising?

Brief Answer: You need a colour doppler of upper limbs. Detailed Answer: Dear Madam, Thank you for posting your query on HCM. Well looking into your problem I would like to tell you that we will need to see the arterial blood flow in your arm . Yes it does not sound like typical raynauds but we cannot rule it out . Also all pulses need to be examined . There is also remote possibility of RSD or underlying connective tissue disease like Lupus . Please provide detail history so that we can help you out better. Also you can discuss this with your treating doctor . Take care. Dr. Shruti